Richmond, VA MSA

Richmond ER Visit Cost

This page is for uninsured patients or those with high deductibles who want to compare ER prices before they go. It's also useful after a visit for comparing charges and negotiating with the hospital. The ER level fee is typically one of the highest line items on a facility bill.

ER Level 1 Average Cash Price

ER level 1: Usually a very limited emergency department service. The services are provided by ancillary staff rather than the same physician or qualified health professional structure used for higher ED visit levels.

$641

8.28x Medicare rate

ER Level 2 Average Cash Price

ER level 2: Straightforward medical decision making: a minimal problem, no tests or records analyzed, and negligible risk from the management options considered.

$1,310

10.52x Medicare rate

ER Level 3 Average Cash Price

ER level 3: Low medical decision making: low-complexity problems such as multiple minor issues, a stable chronic problem, or a straightforward acute illness or injury, with limited data review and below-average management risk.

$2,349

10.22x Medicare rate

ER Level 4 Average Cash Price

ER level 4: Moderate medical decision making: a worsening chronic problem, multiple stable chronic problems, an undiagnosed higher-risk new problem, unexpected acute symptoms, or a complex injury, with moderate data workup and average management risk.

$3,869

11.54x Medicare rate

ER Level 5 Average Cash Price

ER level 5: High medical decision making: a severe chronic problem or an acute or chronic problem or injury that may threaten life or bodily function, with extensive data review and above-average management risk such as hospitalization or urgent high-risk treatment decisions.

$3,837

8.25x Medicare rate

Cash Price Coverage

8 of 9 ER locations

Last UpdatedJun 10, 2026

Big ER Bill? What To Do Now

ER Visit Cost without Insurance

ER visit costs can vary as they can include a facility fee, clinician bill, labs, imaging, medication, transport, and insurance-specific out-of-pocket responsibility. We compare ER cost based on one service every ER visit would have: Level of Emergency Department visit for the evaluation and management of a patient. These figures are source data points, not guarantees of the final bill.

Richmond ER Cash Price Map

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Showing 1-5 of 9 ER locations

Showing 1-9 of 9 ER locations

John Randolph Medical CenterProprietary

ER service level cash price

ER level 1

$1,166

Above average

ER level 2

$1,847

Above average

ER level 3

$3,686

Above average

ER level 4

$4,337

Above average

ER level 5

$5,023

Above average

Overall rating: 3 stars
Dataset version: 2026-03-01

Bon Secours Richmond Community HospitalVoluntary non-profit - Private

ER service level cash price

ER level 1

$387

Below average

ER level 2

$884

Below average

ER level 3

$1,387

Below average

ER level 4

$1,930

Below average

ER level 5

$2,770

Below average

Overall rating: Not available
Dataset version: 4/1/2026

Bon Secours Memorial Regional Medical CenterVoluntary non-profit - Church

ER service level cash price

ER level 1

$374

Below average

ER level 2

$1,141

Below average

ER level 3

$1,780

Below average

ER level 4

$2,389

Below average

ER level 5

$3,340

Below average

Overall rating: 4 stars
Dataset version: 4/1/2026

Bon Secours St Francis Medical CenterVoluntary non-profit - Church

ER service level cash price

ER level 1

$374

Below average

ER level 2

$1,141

Below average

ER level 3

$1,780

Below average

ER level 4

$2,389

Below average

ER level 5

$3,340

Below average

Overall rating: 3 stars
Dataset version: 4/1/2026

Bon Secours St Marys HospitalVoluntary non-profit - Private

ER service level cash price

ER level 1

$374

Below average

ER level 2

$1,141

Below average

ER level 3

$1,780

Below average

ER level 4

$2,389

Below average

ER level 5

$3,818

Around average

Overall rating: 3 stars
Dataset version: 4/1/2026

Emergency room cost data by facility
Facility Name	Overall Rating	ER service level cash price					Dataset Version
Facility Name	Overall Rating						Dataset Version
John Randolph Medical CenterProprietary	3 stars	$1,166 Above average	$1,847 Above average	$3,686 Above average	$4,337 Above average	$5,023 Above average	2026-03-01
Bon Secours Richmond Community HospitalVoluntary non-profit - Private	Not available	$387 Below average	$884 Below average	$1,387 Below average	$1,930 Below average	$2,770 Below average	4/1/2026
Bon Secours Memorial Regional Medical CenterVoluntary non-profit - Church	4 stars	$374 Below average	$1,141 Below average	$1,780 Below average	$2,389 Below average	$3,340 Below average	4/1/2026
Bon Secours St Francis Medical CenterVoluntary non-profit - Church	3 stars	$374 Below average	$1,141 Below average	$1,780 Below average	$2,389 Below average	$3,340 Below average	4/1/2026
Bon Secours St Marys HospitalVoluntary non-profit - Private	3 stars	$374 Below average	$1,141 Below average	$1,780 Below average	$2,389 Below average	$3,818 Around average	4/1/2026
Cjw Medical CenterProprietary	4 stars	$1,166 Above average	$1,847 Above average	$3,686 Above average	$4,337 Above average	$5,023 Above average	2026-03-01
Henrico Doctors' HospitalVoluntary non-profit - Other	3 stars	$1,176 Above average	$1,864 Above average	$3,720 Above average	$4,376 Above average	$5,069 Above average	2026-03-01
Bon Secours Southside Medical CenterProprietary	1 star	$110 Below average	$617 Below average	$973 Below average	$8,802 Above average	$2,317 Below average	4/1/2026
Medical College Of Virginia HospitalsGovernment - Hospital District or Authority	4 stars	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	2026-01-02

Showing 1-9 of 9 ER locations

Data Sources

Cash-price values are from each facility's latest standard charges file published on its website. The average comparison note uses the city average for the same ER service level: around average means within a +/-10% band, above average means more than 10% above, and below average means more than 10% below. Hospital ownership labels and hospital overall ratings come from the CMS Hospital General Information dataset. CMS ratings are a broad summary, not a perfect measure of whether a hospital is best for a specific service.

Why ER level 4 is the default sort

ERcost defaults to ER level 4 because recent commercial ED spending research shows higher-intensity emergency department visit codes now represent a large share of billed visits. This default is based on the Health Affairs study Price Increases Versus Upcoding As Drivers Of Emergency Department Spending Increases, 2012-19 and its ED spending analysis. By 2019, level 4 was the single most common level among ER levels 3, 4, and 5, with level 5 close behind. Level 4 is a practical default for comparison, but actual coding depends on the care documented for a specific visit.

Hit with a big ER bill in Richmond?

Start by checking the bill for errors, asking about discounts or financial assistance, and using your state's medical-debt rules before you respond to collections.

What you can do now

Request an itemized bill with billing codes, verify that every charge matches the services you actually received, and check whether your bill qualifies for No Surprises Act protections.
Ask the hospital about cash-pay or lump-sum discounts, and apply for financial assistance if you qualify.
Use FAIR Health or Bill Sherlock to check if your ER bill is reasonable.
Use Dollar For to apply for hospital financial assistance at no cost.
Hire a medical billing advocate to review your bill. Most work on contingency, charging only when they successfully reduce what you owe.
Keep every bill, denial, and collection notice. The dates matter if you need to challenge credit reporting, wage garnishment, or a lawsuit filed too late.

Virginia medical-debt rules

Medical-debt credit reporting: State law limits furnishers from reporting medical-debt information to bureaus, effective April 17, 2024.
Wage garnishment: More protective than federal through a 40-times multiplier. The Virginia Medical Debt Protection Act (effective July 1, 2026) prohibits garnishment for patients who qualify for the hospital's charity-care policy.
Deadline to sue (statute of limitations): 5 years for written contracts, 3 years for oral contracts.

State medical debt rules

Nearby ER Cost Guides

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